Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.64 / $252.64 / $252.64	Professional		$252.64	$252.64	$252.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.23 / $260.31 / $421.61	Facility		$90.23	$260.31	$421.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $252.64 / $252.64 / $404.22	Facility		$252.64	$252.64	$404.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $252.64 / $252.64 / $404.22	Facility		$252.64	$252.64	$404.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,250,000.00 / $2,400,000.00 / $2,400,000.00	Professional		$2,250,000.00	$2,400,000.00	$2,400,000.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $31.94 / $31.94 / $43.12	Professional		$31.94	$31.94	$43.12